Active NPI
Lisa Marie Lepine, PT, DPT
- Physical Therapist
- Orange City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 35628
- Practice address
- 1495 S Volusia Ave Ste 101
Orange City, FL 32763-7047 - Phone
- (386) 401-6100
- Fax
- (386) 960-0551
- NPI assigned
- May 5, 2020
- Last updated
- May 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 35628 | FL | Primary |
Addresses
Primary practice location
1495 S Volusia Ave Ste 101
Orange City, FL 32763-7047
Mailing address
172 County Route 63
Oswego, NY 13126-5100
Phone (315) 529-8724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1495 S Volusia Ave
Suite 101
Orange City, FL 32763-7047
Phone (386) 401-6100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35628 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Direct Physical Therapy LLC | Single Specialty | Current | Accepting new patients |
Locations
1495 S Volusia Ave
Orange City, FL 32763
Phone (386) 401-6100
1495 S Volusia Ave
Ste 101
Orange City, FL 32763
Phone (386) 401-6100
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588896000000",
"number": "1144841883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 COUNTY ROUTE 63",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131265100",
"telephone_number": "315-529-8724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1495 S VOLUSIA AVE STE 101",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327637047",
"telephone_number": "386-401-6100",
"fax_number": "386-960-0551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEPINE",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-05",
"last_updated": "2020-05-08",
"certification_date": "2020-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "35628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.